U.S. tycoon Jeffrey Epstein, accused of child abuse, has been found semi-conscious in his cell in New York prison and transferred to a hospital, local media reported.

Epstein, 66, who is accused of child sex trafficking and could be sentenced to life in prison, was found in a fetal position with wounds to the neck.

He may have attempted suicide by hanging, although the lightness of the injuries could also indicate that it was self-inflicted in order to be transferred out of the facility, according to NBC news.

Nor has the possibility of an attack been ruled out, and investigators have interrogated another inmate, identified as former policeman Nicholas Tartaglione, who has denied injuring the tycoon, NBC said.

According to Manhattan’s Southern District Attorney’s Office, Epstein had set up a network to abuse dozens of girls at his New York mansion and at his retreat in Florida, more than a decade ago.

The tycoon had already faced such allegations in Florida, but in 2008 he reached an agreement with the Attorney General’s Office to close the investigation, for which he only served 13 months in prison and settled financially with the victims.

The deal was overseen by then Miami prosecutor Alexander Acosta, who was later appointed Secretary of Labor by U.S. President Donald Trump. Acosta was forced to resign amid criticism after Epstein’s rearrest.